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Epidemiologists at the Cancer Institute of New Jersey examined national cancer-registry data involving 14,516 men over age 65 who were diagnosed with localized prostate cancer (that which has not spread beyond the prostate) from 1992 to 2002 and delayed surgery or radiation for at least six months after the diagnosis - the wait-and-see strategy commonly referred to as watchful waiting. In the majority of these patients - those who were diagnosed with early-stage disease at a median age of 78 - the 10-year risk of cancer-related death was less than 10%. Researchers also calculated the risk...
Still, the new findings confirm what oncologists have long known - that, in general, aggressive treatment for older prostate-cancer patients does not significantly improve survival. Indeed, according to the American Cancer Society (ACS), the 10-year survival rate for prostate-cancer patients over age 65 who pursue aggressive treatment (surgery, radiation or chemotherapy) is 97%, slightly higher than the survival rate of the 66-to-74-year-old patients in the current study who chose no treatment. "Cancer is the scariest word in medicine for many patients. The first thought is, Oh, my God, I'm going...
...because doctors have been unable to inform men with any level of precision what their actual risk of death is from prostate cancer, fearful patients have often sought unnecessary surgery and radiation; fewer than 10% of patients who are diagnosed with prostate cancer at age 60 or older choose watchful waiting. "With this new evidence, doctors can give patients some quantifiable information so that together they can decide if it's more appropriate to forgo active treatment for now and just monitor their disease for any new developments," says Brooks, who was not involved in the study...
Many oncologists agree that older men - especially those over age 70 - are prime candidates for a watchful-waiting approach to treatment because prostate cancer is often a slow-growing disease that produces few or no symptoms and does not affect a man's quality of life after diagnosis. It is often referred to as a disease patients die with, rather than of. In Lu-Yao's study, men diagnosed with prostate cancer were up to five times more likely to die within 10 years from a non-prostate-related cause...
...Age certainly does not guarantee victory. Just ask sophomore Holly Cao and freshman Hideko Tachibana, who competed in a Crimson-clad final in the Flight A women’s tennis championship at the William and Mary Invitational over the weekend. After a string of tough matches against a variety of highly-ranked opponents, the athletes faced one another for the title. Tachibana emerged as the victor, defeating Cao, 6-7, 6-4, 6-3.However, this was ultimately a team victory for Harvard. Cao and Tachibana showed that they could fill the shoes of graduates Beier Ko and Laura Peterzan...